Individual
DR. THOMAS L KEISTER JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2810 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3502
(985) 875-2340
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
MD.12923R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1552321
—
LA
Enumeration date
05/05/2006
Last updated
07/08/2007
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